senior registrar cardiac surgery
ministry of defence
Total years of experience :28 years, 8 Months
Training and Clinical Experience:
House officer in El-Hussein Hospital:
I spent one year (in the form of rotations) in El-Hussein Hospital, Al-Azhar University as a house officer in the following departments:
- Internal Medicine (2 months).
- General Surgery (2 months).
- Paediatrics (2 months).
- Gynaecology and Obstetrics (2 months).
- Tropical (Gastroenterology) (2 months).
- Orthopaedics (2 months).
Resident (SHO) in General Surgery Department:
I spent 6 months in General Surgery. I shared as a first assistant in several operations such as: Thoiredectomy, hernioplasty, hernioraphy, cholecystectomy, varicocele, varicose veins...etc. I did many minor operations as a primary surgeon such as appendicectomy, exicision of sebaceous cyst, lipoma and circumcision.
Resident (SHO) in Cardiothoracic Surgery Department:
Operative experience:
•Sternotomy, hemostasis and closure of sternotomy.
•Sternotomy and cannulation in open heart surgery.
•Thoracotomy and its closure.
•Second assistant in valves replacement operations.
•Harvesting of the following conduits:
Saphenous vein, radial artery and internal thoracic artery.
ICU experience:
•Receiving patients after open heart surgery for follow up and also any complicated cases after remote surgery that suffer from hemodynamic instability or stuck valve as well as all cases of chest trauma.
•Adjustment of arterial blood gases and serum electrolytes.
•nsertion of central venous line.
•Insertion of arterial line.
•Extubation of the patient from ventilation.
•Re-intubation of the patient for ventilation.
•Management of arrhythmia.
•Insertion of intra-aortic balloon pump.
•Chest tube insertion for pleural effusion drainage for any cause.
•Thoracotomy for chest exploration in cases of hemothorax.
•Reopening patients in cases of surgical postoperative bleeding.
Attending the outpatient clinic:
To follow up patients after discharge from the hospital.
Lecturer and Assistant lecturer in Cardiothoracic Surgery Department:
I shared as a first assistant in many operations including the following:
• Coronary artery bypasses (CABG) operations.
• Valve replacement operations.
• ASD and VSD closure.
• Correction of Fallot's tetralogy.
• PDA ligation.
• Palliative shunts as modified BT shunt, Glenn shunt and PA banding.
• Resection of lung lobes (lobectomy).
I have operated as a primary surgeon the following operations:
• Open mitral valve replacement.
• Mitral valve replacement through thoracotomy.
• Aortic valve replacement.
• Tricuspid valve repair.
• Double valves replacement.
• Subaortic membrane resection.
• ASD closure, PDA ligation.
• Lobectomy.
Postoperative and emergency shifts:
•Receiving patients after open heart surgery in the Cardiothoracic Care Unit (CTCU) to follow up them, and also receiving any complicated cases after remote surgery that suffer from hemodynamic instability or stuck valve, as well as cases of chest trauma.
•Chest tube insertion for pleural effusion drainage.
•Thoracotomy for exploration in cases of hemothorax to control bleeding.
•Reopening patients in cases of surgical postoperative bleeding.
•Attendance of the annually meeting of the Egyptian Society of Cardiothoracic Surgery.
•Attendance of MD scientific sessions presented by members and professors in the Egyptian Cardiothoracic Surgery Society.
In addition, I did many clinical attachments in the UK:
•The first one was for one month with Mr. Raghab Hassan in the Cardiothoracic Surgery Department, Manchester Royal Infirmary Hospital, Manchester, UK.
• I shared in one of the audits and it was about (Deep Postoperative Sternal Wound Cost).
•The second clinical attachment was in the Cardiothoracic Surgery Department, Wythenshawe Hospital, Manchester, UK for six weeks with Mr. Isaac Kadir.
Recently I have done a clinical attachment in Liverpool Heart and Chest Hospital, UK, for 6 months with two consultants, Mr Shackcloth who is a thoracic surgeon and Mr. Aung Aoo who is a cardiac surgeon.
House officer in El-Hussein Hospital:
I spent one year (in the form of rotations) in El-Hussein Hospital, Al-
Azhar University as a house officer .Resident (SHO) in General Surgery Department:
I spent 6 months in General Surgery. I shared as a first assistant in several
operations. Resident (SHO) in Cardiothoracic Surgery Department:
Operative experience:
Sternotomy, hemostasis and closure of sternotomy.
Sternotomy and cannulation in open heart surgery.
Thoracotomy and its closure.
Second assistant in valves replacement operations.
Harvesting of the following conduits:
Saphenous vein, radial artery and internal thoracic artery.
ICU experience:
Receiving patients after open heart surgery for follow up and also
any complicated cases after remote surgery that suffer from
hemodynamic instability or stuck valve as well as all cases of chest
trauma.
Attending the outpatient clinic:
Lecturer and Assistant lecturer in Cardiothoracic Surgery
Department:
I shared as a first assistant in many operations including the
following:
Coronary artery bypasses (CABG) operations.
Valve replacement operations.
ASD and VSD closure.
Correction of Fallot's tetralogy.
PDA ligation.
Palliative shunts as modified BT shunt, Glenn shunt and PA
banding.
Resection of lung lobes (lobectomy).
I have operated as a primary surgeon the following operations:
Open mitral valve replacement.
Mitral valve replacement through thoracotomy.
Aortic valve replacement.
Tricuspid valve repair.
Double valves replacement.
Subaortic membrane resection.
ASD closure, PDA ligation.
Lobectomy.
5
Postoperative and emergency shifts:
Receiving patients after open heart surgery in the Cardiothoracic
Care Unit (CTCU) to follow up them, and also receiving any
complicated cases after remote surgery that suffer from
hemodynamic instability or stuck valve, as well as cases of chest
trauma.
Chest tube insertion for pleural effusion drainage.
Thoracotomy for exploration in cases of hemothorax to control
bleeding.
Reopening patients in cases of surgical postoperative bleeding.
Keeping my knowledge up-to-date through
Attending the weekly scientific meeting in our Cardiothoracic
Surgery Department and participating in presenting topics such as
myocardial protection, aortic aneurysm, postoperative
complications ...etc.
Attendance of the annually meeting of the Egyptian Society of
Cardiothoracic Surgery.
Attendance of MD scientific sessions presented by members and
professors in the Egyptian Cardiothoracic Surgery Society.
In addition, I did many clinical attachments in the UK:
The first one was for one month with Mr. Raghab Hassan in the
Cardiothoracic Surgery Department, Manchester Royal Infirmary
Hospital, Manchester, UK.
I used to attend regularly their morning clinical rounds and weekly
meetings.
I used to attend the operative theatre 3 times per a week, most of the
cases were cardiac such as CABG, and valves replacement.
I shared in one of the audits and it was about (Deep Postoperative
Sternal Wound Cost).
The second clinical attachment was in the Cardiothoracic Surgery
Department, Wythenshawe Hospital, Manchester, UK for six weeks
with Mr. Isaac Kadir.
Recently I have done a clinical attachment in Liverpool Heart and
Chest Hospital, UK, for 6 months with two consultants, Mr
Shackcloth who is a thoracic surgeon and Mr. Aung Aoo who is a
cardiac surgeon. In the thoracic unite I have joined Mr Shackcloth in
many thoracic surgery operations. Mr. Aung is interested in aortic surgery, he is called also, Mr.
aneurysm, I have joined him in many cardiac surgeries .
MBBch December 1993 (signed up very good with honors), Faculty of Medicine, Al-Azhar University, Cairo, Egypt. MSc Master Degree of General Surgery, April 2001 (very good), Faculty of Medicine, Al-Azhar University, Cairo, Egypt. MD MD degree of Cardiothoracic surgery, June 2008, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Academic and Research Background: • MBBCh in December 1993 with grade (very good with honors) from Faculty of Medicine, Al-Azhar University, Cairo, Egypt. • MSc in General Surgery in April 2001 with grade (very good) from Faculty of Medicine, Al-Azhar University, Cairo, Egypt. The title of MSc thesis was (Prosthetic Valve Replacement in Rheumatic Children). • phD in Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt. The title of Thesis was (Radial Artery for Myocardial Revascularization). • Is Custodiol an Equivalent Alternative for Conventional Blood Cardioplegia in Cardiac Surgery? Egyptian Cardiothoracic Surgery Journal 2014 • Prevention and management of air leak postoperatively Egyptian Cardiothoracic Surgery Journal 2015 • Combined Coronary Artery Bypass Grafting and Surgical Resection of Right Atrial Myxoma Complicated with Pulmonary Embolism Dr. Medhat Ahmad Refaie MD (Revista Argentina de Cirugía Cardiovascular y col. - pg. 163 a 167) • Case report presentation about Combined Coronary artery Bypass Grafting and Surgical Resection of Right Atrial Myxoma Complicated with Pulmonary Embolism in Saudi heart association. • Spontaneous Coronary Artery Dissection in puerperium Asian cardiothoracic annals 2015. • Evaluation of reverse left ventricular remodeling and Ejection fraction after combined CABG and mitral repair as abstract in AATS Turkey April 2015. • Evaluation of Reverse Left Ventricular Remodeling and Ejection Fraction after Combined Coronary Artery Bypass and Valve Repair for Ischemic Mitral Regurgitation under publication as a paper. • Right aortic arch anomaly with MI as case report in process of publication.
